Dhungel Bibha, Tsuguhiko Kato, Ochi Manami, Gilmour Stuart, Kachi Yuko, Takehara Kenji
Department of Health Policy, National Centre for Child Health and Development, Tokyo, 157- 8535, Japan.
Graduate School of Public Health, St. Luke's International University, Tokyo, 104-0045, Japan.
SSM Popul Health. 2021 Oct 23;16:100951. doi: 10.1016/j.ssmph.2021.100951. eCollection 2021 Dec.
Fathers' involvement in childcare has been increasing in recent years. However, very little is known about the health impact on fathers when they are caring for or living with a disabled child. This study aims to understand the psychological distress and subjective health outcomes among fathers living with a disabled child compared to fathers living without a disabled child. Data for this study were obtained from the Comprehensive Survey of the Living Conditions conducted by the Ministry of Health, Labour and Welfare in 2016. Multivariable logistic regression was used among 438 disabled-child and father dyads and 27,682 non-disabled-child and father dyads to analyse the association between a child's disability status with father's health outcomes. Fathers of disabled children had a higher prevalence of psychological distress (17% vs. 12%) and poor subjective health status (13% vs. 8%) than fathers of non-disabled children. A large proportion of disabled children were boys (70%) and had disability level 1 (47%). After adjusting for covariates, the odds ratio (OR) of having psychological distress (OR, 1.53; 95% CI, 1.19-1.97) and poor subjective health status (OR, 1.78; 95% CI, 1.34-2.36) among fathers of disabled children is significantly higher compared to fathers of non-disabled children. Unemployed fathers had a higher odds ratio of psychological distress (OR, 3.07; 95% CI, 2.49-3.79) and poor subjective health status (OR, 4.90; 95% CI, 3.95-6.09) compared to regular working fathers. Fathers of children with disabilities need greater physical and mental health and wellbeing support. They should be provided with additional support not just for their mental but also their subjective wellbeing.
近年来，父亲参与育儿的情况日益增多。然而，对于父亲在照顾残疾儿童或与残疾儿童共同生活时对其健康产生的影响，我们知之甚少。本研究旨在了解与未与残疾儿童共同生活的父亲相比，与残疾儿童共同生活的父亲的心理困扰和主观健康状况。本研究的数据来自2016年厚生劳动省进行的生活状况综合调查。在438对残疾儿童与父亲的二元组和27682对非残疾儿童与父亲的二元组中，采用多变量逻辑回归分析儿童残疾状况与父亲健康状况之间的关联。与非残疾儿童的父亲相比，残疾儿童的父亲心理困扰患病率更高（17%对12%），主观健康状况较差（13%对8%）。很大一部分残疾儿童是男孩（70%），且残疾程度为1级（47%）。在调整协变量后，与非残疾儿童的父亲相比，残疾儿童的父亲出现心理困扰（比值比[OR]，1.53；95%置信区间[CI]，1.19 - 1.97）和主观健康状况较差（OR，1.78；95% CI，1.34 - 2.36）的比值比显著更高。与有固定工作的父亲相比，失业父亲出现心理困扰（OR，3.07；95% CI，2.49 - 3.79）和主观健康状况较差（OR，4.90；95% CI，3.95 - 6.09）的比值比更高。残疾儿童的父亲需要更多的身心健康和幸福支持。不仅应给予他们心理方面的支持，还应给予他们主观幸福感方面的额外支持。
